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What You Should Know About Night Blindness

If you don’t see well while driving at night, there’s a chance you have night blindness. Night blindness, or nyctalopia, is the inability to see well at night or in dim lighting. It’s not considered an eye disease, but rather a symptom of an underlying problem.

Our eye doctor can help diagnose, manage and treat your night blindness so that you can enjoy being out at night again.

Here are 4 things you should know about night blindness:

Causes of Night Blindness

The inability to see well at night can be the result of a condition such as:

Vitamin A Deficiency — Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness.

CataractsA buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.

Diabetic RetinopathyDamage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.

GlaucomaThis group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both glaucoma and the medications used to treat it can cause night blindness.

MyopiaAlso called nearsightedness, myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.

KeratoconusAn irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.

Retinitis Pigmentosa (RP)A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.

Usher SyndromeThis genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors.

Symptoms of Night Blindness Include:

  • Reduced contrast sensitivity
  • Difficulty seeing people outdoors at night
  • Difficulty seeing in places with dim lighting, like a movie theater
  • Trouble adapting to the dark while driving
  • Excessive squinting at night
  • Trouble adjusting from bright areas to darker ones

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery.

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision.

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness.

If you experience poor vision at night or in dim lighting, we can help. Contact Bridlewood Eye Care in Calgary to schedule your appointment today.

Frequently Asked Questions with Dr. David A. Blaine

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Yes. Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Calgary, Alberta. Visit Bridlewood Eye Care for an eye exam and eyeglasses that match your style.

6 Common Myths About Glaucoma

Glaucoma is an eye disease in which increased pressure causes progressive, permanent vision loss and even blindness. Unfortunately, many misconceptions about the disease can leave you misinformed. Below we sort fact from fiction by debunking 6 of the most common glaucoma myths.

Glaucoma Facts vs. Myths

MYTH 1: Glaucoma is a single disease

FACT 

Glaucoma is a group of eye diseases; the most common ones are open-angle glaucoma (OAG) and angle-closure glaucoma (ACG). 

In open-angle glaucoma, the drainage structure in your eye (called the trabecular meshwork) doesn’t allow the fluid inside the eye to flow out as it should, causing an increase in internal ocular pressure that damages the optic nerve. OAG develops slowly, and usually by the time people perceive symptoms, such as peripheral vision loss, they already have optic nerve damage. 

In angle-closure glaucoma, the eye doesn’t drain fluid as it should because the drainage channel between your iris and cornea becomes too narrow, causing increased eye pressure. This pressure damages the optic nerve, leading to vision loss. ACG can occur suddenly or gradually.

MYTH 2: Only the elderly suffer from glaucoma

FACT

Although it’s true that people over 60 are at a greater risk of developing open-angle glaucoma compared to people in their 40s, there are other types of glaucoma that can affect people aged 20 to 50 and even young infants (due to abnormal ocular development). 

In addition to age, those with a higher risk of developing glaucoma include:

  • African Americans and Hispanics 
  • Individuals with a family history of glaucoma 
  • Patients with cardiovascular disease, diabetes, or sickle cell anemia
  • Those who have previously sustained an eye injury
  • People taking steroid medications over the long term

MYTH 3: Glaucoma shows symptoms early on

FACT

The most common form of glaucoma, open-angle glaucoma, shows virtually no signs or symptoms until its later stages when vision loss sets in. Despite what people may think, the increased eye pressure causes no pain. And since peripheral vision is the first to go, you may not recognize vision loss until your vision has become significantly impaired. The only way to detect glaucoma is to undergo a comprehensive eye exam. 

MYTH 4: Nothing can be done once you have glaucoma

FACT 

While there’s currently no cure for glaucoma, many effective treatment options exist: eye drops, oral medications, as well as laser and surgical procedures that can help slow glaucoma progression. Each treatment option is used to get the fluid to flow properly out of the eye, reducing pressure inside the eye and decreasing damage to the optic nerve.

MYTH 5: Testing for glaucoma is painful

FACT 

Actually, testing for glaucoma is practically painless. One of the tests includes a non-contact device that blows a gentle puff of air into each eye to test the intraocular pressure. The sound of the puff may be startling, but it’s over in a second and is painless. With the Goldmann applanation tonometry test, an anesthetic eye drop is inserted into each eye, which may cause a stinging sensation for a few seconds. Your eye doctor will then use a blue light to quickly and gently touch the cornea to precisely measure intraocular pressure. The most accurate of all, however, are visual field testing and OCT (optical coherence tomography), non-invasive imaging, both of which are also painless.

MYTH 6: You can’t prevent glaucoma

FACT 

Regular eye exams are the only way to prevent glaucoma, as blindness or significant vision loss can be prevented if the disease is diagnosed and treated in the early stages. That’s why routine comprehensive eye exams which include glaucoma testing are so important.

Getting your eyes checked regularly can ensure that any existing eye problems are detected early enough to prevent or slow ocular damage. Contact Bridlewood Eye Care in Calgary to book your comprehensive eye exam today!

Does Obesity Impact Eye Health?

Nation-wide awareness about the vast dangers of obesity is at an all-time high, with TV shows like “The Biggest Loser” and health initiatives such as Michelle Obama’s “Let’s Move!” campaign shining a spotlight on the importance of fitness and good nutrition. However, despite the public’s knowledge of obesity’s effects on hypertension, stroke, and diabetes, many are not aware of how it damages eye health and vision.

Increasing evidence shows that people who are clinically obese have an elevated risk of developing serious eye diseases. It is widely known that expanding waistlines place people at a higher risk of getting diabetes, heart disease, and cancer — but researchers say the link between obesity and deteriorating vision is the “risk factor that no one talks about”. Professor Michael Belkin and Dr. Zohar Habot-Wilner, from the Goldschleger Eye Institute at the Sheba Medical Center, found a consistently strong correlation between obesity and the development of four major eye diseases that may cause blindness:

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Glaucoma
  • Diabetic retinopathy

The researchers said that although the evidence was out there suggesting a link between obesity and these conditions, their study emphasizes the optometric risks of obesity which can help motivate people to shed those extra pounds.

How Obesity Contributes to Eye Disease

A Body Mass Index (BMI) of 25 is considered overweight and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Recent research indicates that a handful of ocular diseases can now be added to that list.

Serious eye conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss.

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair!

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts result when the focusing lens in the eye becomes cloudy and requires surgery to be replaced. In addition to age, cataract development is associated with obesity, poor nutrition, gout, diabetes and high blood sugar levels, though the exact cause isn’t clear.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases.

We Can Help Keep Your Eyes Healthy in Calgary

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams with Dr. Blaine can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, don’t hesitate to call Bridlewood Eye Care — we’re here for you.